Peterson, Lon B.

Peterson, Lon B. is an individual health care provider with primary practice located at 1285 Nininger Rd , Hastings MN 55033-1086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Lon B. can be contacted via phone (651) 480-4200.

Contact Information

Primary practice address
1285 Nininger Rd Hastings MN 55033-1086
Fax: (651) 480-4306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30170 Minnesota

Profile Details

NPI number 1538138821
LBN Legal business name Peterson, Lon B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538138821 NPPES
Minnesota Other 080108727 RAILROAD MEDICARE
Minnesota MEDICAID 507782600 RAILROAD MEDICARE
Minnesota Other FP9703 RAILROAD MEDICARE
Minnesota Other HP16949 RAILROAD MEDICARE
Minnesota Other 01-00067 RAILROAD MEDICARE
Minnesota Other 31362000 RAILROAD MEDICARE
Minnesota Other 4K544PE RAILROAD MEDICARE
Minnesota Other 66-02249 RAILROAD MEDICARE
Minnesota Other 100055 RAILROAD MEDICARE
Minnesota Other 31362000 RAILROAD MEDICARE
Minnesota Other NA9141001149 RAILROAD MEDICARE

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